Individual provider · Type 1 NPI

Jackie Paris I, MA, LMFT, RDT

Marriage & Family Therapist · Portland, OR

NPI number 1861637100 Active

Practice location

1820 SW Vermont St Ste L
Portland, OR 97219-1945

Call (503) 528-4406 Map

Fax (503) 477-4852

Mailing address

1820 SW Vermont Street, Suite L
Portland, OR 97219

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	T058 (OR)
Marriage & Family Therapist Primary	106H00000X	T058 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1861637100

Jackie Paris I, MA, LMFT, RDT's National Provider Identifier is 1861637100, issued on Dec 15, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Dec 15, 2008.